Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Nicholas Sullivan, PT

Individual provider Physical Therapist · NPI 1679653455

Mark Nicholas Sullivan, PT is a Physical Therapist in Hillsboro, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

400 Water Ave St Josephs Rehab Dept
Hillsboro, WI 54634
Phone: (608) 489-8260
Fax: (608) 489-8193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5549024 (WI)

Record details

NPI number1679653455
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address575 Pine Ave, Hillsboro, WI 54634

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